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TVH, posterior + anterior repair + native vault support TVH, posterior + anterior repair + native vault support

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Unread 12-22-2010, 10:21 PM
TVH, posterior + anterior repair + native vault support

I am not yet 40 and booked for surgery in March. My symptoms are certainly not unbearable but they are progressing. I have tried physiotherapy to no avail. I will be getting a second or even third opinion but I am yet to read anything that convinces me that the alternatives are anything other than stop-gaps.
I have 3 wonderful children but, you know, I will miss my uterus. I waited on it to tell me I had become a woman. It told me when I was pregnant - and when I wasn't. It nurtured my babies. It reminds me each month of the wonder of my fertility. It is a part of who I am and it seems somehow disrespectful to just be rid of it ...
I am most concerned about the recovery and the possibility of change in sexual function after the surgery.
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Unread 12-23-2010, 06:55 AM
Re: TVH, posterior + anterior repair + native vault support

Hi Blyss,

I had the same diagnosis as you do. As I wanted to keep ny uterus I had a sacrospinous fixation, where they pull up your uterus and suture it to your sacrospinous ligament. In my case the ligament was nit strong enough and I ended with complicatioons and such. Ended up getting a TVH after all on December 10 th and of course am now wondering why I did not do it earlier. My uterus was full of fibroids which I did not know, they may have caused some of the problems also.

I feel really light, no pelvic heaviness, I am so happy. I had anterior and posterior repairs done as well.

The results from the sacrospinous fixation were great as well had I not run into complications. If there are no other problems with your uterus you may want to look into keeping it. It is a little more cimplicated procedure and not every gyn can do it. There are risks of recurring prolapse of course, but that can happen after hysterectomy also ....vaginal vault prolapse.

It is a difficult decision, don't feel rushed and take your time deciding so it will feel right afterwards. I am 41 and kept my ovaries. After nearly two weeks I feel very good. Just extremely tired and every now and then a little crampy, but I'll get there in the end.
Unread 12-23-2010, 12:50 PM
Re: TVH, posterior + anterior repair + native vault support

Thanks BurnedOut.
I am glad to hear you are doing so well. The recovery terrifies me just a bit!!
My urogyn does a double hitch using both sacrospinous ligament and shortened uterine ligament to prevent vault prolapse after hysterectomy. I am planning to have another chat with him to discuss the possibility of keeping my cervix at least. I do suffer shocking period pain (taking NSAIDS round the clock three or four days a month for decades carries its own risks) and heavy to extreme bleeding so there is an upside to hysterectomy, I suppose. I think I can come to terms with the whole calamity but I am most concerned about the possibility of altered sexual function. My husband and I plan to be enjoying one another for another few decades yet (tmi?) - and I don't want to screw that up.
My head's still spinning I think. Perhaps I'll try to forget about it over Christmas and pick it up again in the new year.

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